Collaborative Stage for TNM 7 - Revised 06/30/2011  [ Schema ]

Lung

CS Mets at DX

CodeDescriptionTNM 7 MapTNM 6 MapSS77 MapSS2000 Map
00No distant metastasis^*NONENONE
10OBSOLETE DATA CONVERTED V0200
See code 30

Distant lymph node(s), including cervical nodes
ERROR*ERRORERROR
15Malignant pleural effusion, ipsilateral or same lungM1a*DD
16Malignant pleural effusion, contralateral or other lungM1a*DD
17Malignant pleural effusion, ipsilateral and contralateral lungs  (Bilateral pleural effusion)M1a*DD
18Malignant pleural effusion, unknown if ipsilateral or contralateral lungM1a*DD
20Malignant pericardial effusionM1a*DD
2120 + (16 or 17)

Malignant pericardial effusion plus contralateral or bilateral pleural effusion
M1a*DD
23Extension to:    
    Contralateral lung    
    Contralateral main stem bronchus   
Separate tumor nodule(s) in contralateral lung
Pleural tumor foci or nodules on contralateral lung
M1a*DD
24Pleural tumor foci or nodules on the ipsilateral lung separate from direct invasionM1a*DD
2523 + any of (15, 16, 17, 18, 20, 21, 24)

Extension to contralateral lung plus pleural or pericardial effusion or separate pleural tumor foci
M1a*DD
26Stated as M1a with no other information on distant metastasisM1a*DD
30Distant lymph node(s), including cervical nodesM1b*DD
3230 + any of (15, 16, 17, 18, 20, 21)

Distant lymph nodes plus pleural or pericardial effusion
M1b*DD
3330 + 24

Distant lymph nodes plus pleural tumor foci
M1b*DD
35OBSOLETE DATA RETAINED V0200
Separate tumor nodules reclassified in AJCC 7th Edition, coded in CS SSF 1

Separate tumor nodule(s) in different lobe, same lung
ERROR*LD
3630 + 23

Distant lymph nodes plus extension to contralateral lung
M1b*DD
37Extension to:
    Skeletal muscle
    Sternum
    Skin of chest
M1b*DD
3837 + 23

Extension in code 37 plus extension to contralateral lung
M1b*DD
39OBSOLETE DATA CONVERTED V0200
See code 23

Extension to:
    Contralateral lung
    Contralateral main stem bronchus  
Separate tumor nodule(s) in contralateral lung
ERROR*ERRORERROR
40Abdominal organs
Distant metastasis, except distant lymph node(s) and extension specified in codes 23 and 37, including:
    Separate lesion in chest wall or diaphragm
    Distant metastasis, NOS
    Carcinomatosis
M1b*DD
4140+ 23 

Distant mets plus extension to contralateral lung
M1b*DD
42(37 or 40) + any of (15, 16, 17, 18, 20, 21)

Distant metastasis plus pleural or pericardial effusion
M1b*DD
43(37 or 40) + 24

Distant metastasis plus pleural tumor foci
M1b*DD
50OBSOLETE DATA RETAINED V0200

Distant metastases + Distant node(s)
(10) + any of (35 to 40)
ERROR*DD
51(37 or 40) + 30

Distant metastasis plus distant lymph node(s)
M1b*DD
5251 + any of (15, 16, 17, 18, 20, 21)

Distant metastasis plus distant lymph nodes plus pleural or pericardial effusion
M1b*DD
5351 + 24

Distant metastases plus distant lymph nodes plus pleural tumor foci
M1b*DD
70Stated as M1b with no other information on distant metastasisM1b*DD
75Stated as M1 [NOS] with no other information on distant metastasisM1NOS*DD
99Unknown; distant metastasis not stated
Distant metastasis cannot be assessed
Not documented in patient record
^*UU